Zeidman, Glenn
Zeidman, Glenn is an sole proprietor health care provider with primary practice located at 1126 Country Club Rd , Mccomb MS 39648-5952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zeidman, Glenn can be contacted via phone (601) 250-0139.Contact Information
Primary practice address
1126 Country Club Rd
Mccomb MS 39648-5952
Phone: (601) 250-0139
Fax: (601) 250-0139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18759 | Mississippi |
Profile Details
| NPI number | 1023067360 |
|---|---|
| LBN Legal business name | Zeidman, Glenn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 23rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023067360 | NPPES |
| Mississippi | MEDICAID | 00433021 |
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